|
|
|
| Application of quality control circle in quality control of peripherally inserted central catheters in oncology patients |
| LUAN Shunlian1,2, HUANG Jiaxiang2, MA Zhenzhen2, SHAO cuijie2, ZHOU Chengchao1 |
1 School of Public Health,Shandong University Shandong,Jinan,250012 P.R.China;
2 Department of Oncology,Binzhou Medical University Hospital |
|
|
|
|
Abstract Objective to investigate the application effect of quality control circle (QCC) in peripherally inserted central catheters (PICC) control of oncology.Methods The quality control circle group was established.The targets were “to improve the success rate of PICC catheterization,to reduce the complications during PICC and improve the quality of PICC”.226 patients with PICC tube were selected as control group without the implementation of QCC,and 215 patients with PICC tube were selected as observation group with the implementation of QCC.The success rate of tube insertion,the incidence of complications,the knowledge of PICC theory and operation skills,and the patient’s satisfaction in two groups were compared.Results After implementation of QCC,the success rate of tube placement at the first time in the control group and the observation group were 85.84% and 96.74% respectively.The incidence of PICC complications were 31.42% and 15.81% respectively.The PICC theoretical knowledge and operational skills of the nurses were excellent,and the satisfactions of patients were 91.59% and 97.21%.Conclusion The application of QCC could effectively improve the success rate of PICC catheterization at the first time,reduce the incidence of complications, improve patient’s satisfaction, and improve the quality of PICC nursing management and the professional accomplishment of nursing staff.
|
|
Received: 02 August 2018
|
|
|
|
|
|
[1] Tian G,Zhu Y,Qi L,et al.Efficacy of multifaceted interventions in reducing complications of peripherally inserted central catheter in adult oncology patients[J].Support Care Cancer,2010,18(10):1293-1298.
[2] 郭碧清,邓宜雅.新生儿PICC并发症的预防及护理对策[J].中外医学研究,2013,11(2):64.
[3] Fearonce G,Faraklas I,Saffle J R,et al.Peripherally inserted central venous catheters and central venous catheters in burn patients:a comparative review[J].J Burn Care Res,2010,31(1):31-35.
[4] 石岚,徐卫英,董赟, 等.运用品管圈提高乳腺癌患者PICC维护质量的实践[J].中国护理管理,2013,13(5):69-71.
[5] 时丽萍,徐海艳,周端鹏,等.开展品管圈活动降低居家自我间歇导尿患者尿路感染率[J].护理学杂志,2013,28(1):18-19.
[6] 杨英珍,杜华.143例PICC置管的主要并发症及相关因素分析[J].安徽医药,2010,14(12):3518-3519.
[7] Abitz T L.Cultural Congruence and Infusion Nursing Practice[J].J Infus Nurs,2016,39(2):75-79.
[8] 张晓蓉,徐元英,龚宝珠,等.肿瘤病人PICC置管主要并发症及其相关因素分析[J].全科护理,2009,7(5A):1150-1151.
[9] 黄家香,栾顺莲,徐宁.肿瘤化疗患者PICC相关性深静脉血栓的原因分析[J].护理实践与研究,2015,12(5):129-130.
[10] 沈峰平,钱火红,马高尉,等.运用品管圈降低PICC导管头端位置异位率[J].解放军医院管理杂志,2017,24(12):1126-1129.
[11] 梁苾瑜. PICC置管后血栓形成的危险因素和护理体会[J].血栓与止血学, 2017, 23(4):682-684.
[12] 刘琳,刘敏,张云美.PICC延续护理手册在肿瘤化疗病人中的应用效果[J].护理研究, 2017, 31(27):3435-3438. |
| [1] |
MA Zhenzhen, WANG Yujie, ZHOU Jing, WANG Xiaoxiao, ZHANG Min, LUAN Shunlian, XU Hongmei. The effect of continuing nursing based on Omaha system on PICC outcomes in tumor patients[J]. 滨州医学院学报, 2019, 42(2): 123-129. |
| [2] |
ZHANG Xibing, CHEN Shujun, YAO Xia, WANG Chunxiao, TANG Xiaojie, CAO Haifei, SONG Qinyong. Applied anatomy foundation of the I-shaped memory alloy vertebroplasty frame for osteoporotic vertebral compression fracture[J]. 滨州医学院学报, 2019, 42(1): 1-4. |
|
|
|
|
